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Organization

PEDIATRIC ASSOCIATES OF AUBURN

Active
Other names
Richard M. Freeman, MD, PC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANNE MARTINEZ CARLTON (OFFICE MANAGER)
(334) 203-1766
Entity
Organization

Contact information

Practice address
2901 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 203-1766
(334) 203-1784
Mailing address
2901 CORPORATE PARK DRIVE, OPELIKA, AL 36801-7283
(334) 203-1766
(334) 203-1784

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5738
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000002165
AL
05
000044755
AL
01
51002165
BCBS RICHARD M. FREEMAN,
AL
01
51044755
BCBS ELLEN L. ROYAL, M.D.
AL
05
528201420
AL
Enumeration date
01/18/2007
Last updated
07/12/2021
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